Honouring the Multidisciplinary Team in Hospice Care
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SEPTEMBER – NOVEMBER 2019 • MCI (P) 108/12/2018 Forming a community of care for patients Doing more together HONOURING THE MULTIDISCIPLINARY TEAM IN HOSPICE CARE PLUS Tips for caregivers 1 THE HOSPICE LINK • SEPTEMBER – NOVEMBER 2019 CHIEF EXECUTIVE’S NOTE Members’ Contacts Contents Alone, we can do so little. Assisi Hospice St Luke’s Hospital 832 Thomson Road, S(574627) 2 Bukit Batok Street 11, S(659674) T: 6832 2650 F: 6253 5312 T: 6895 3216 F: 6561 3625 www.assisihospice.org.sg www.slh.org.sg Together, we can do so much. [email protected] [email protected] Bright Vision Hospital Tsao Foundation iven the complexities of capability, the synergy to improve aspects of 5 Lorong Napiri, S(547530) 298 Tiong Bahru Road multimodality treatment activities for living, coping and functioning T: 6248 5755 F: 6881 3872 Central Plaza, #15-01/06, for patients, no one medical is achieved. www.bvh.org.sg S(168730) G [email protected] T: 6593 9500 F:6593 9505 professional can possess all In essence, it is all about care and support to tsaofoundation.org the necessary background to make optimal help such individuals through everyday living. Buddhist Compassion Relief [email protected] treatment decisions independently or avoid Similarly, The World Hospice and Palliative Care Tzu Chi Foundation (Singapore) 10 inevitable unconscious bias toward their own Day (WHPCD) 2019, a unified day of action, aims 9 Elias Road, S(519937) Changi General Hospital area of expertise. to celebrate and support hospice and palliative T: 6582 9958 F: 6582 9952 2 Simei Street 3, S(529889) 2 Members’ Contacts Therefore, the composition of our care around the world. www.tzuchi.org.sg/en T: 6788 8833 F: 6788 0933 Multidisciplinary Team (MDT) is dynamic — a Let us echo the importance of recognising www.cgh.com.sg team of professionals that often goes beyond the professionals and individuals who have Dover Park Hospice 3 Chief Executive’s Note 10 Jalan Tan Tock Seng, S(308436) Khoo Teck Puat Hospital the call of duty, so dedicated are they to made an impact on and paid attention to T: 6500 7272 F: 6254 7650 90 Yishun Central, S(768828) address the sector’s needs. The members’ MDTs prioritising palliative care and services. On this The final goodbye www.doverpark.org.sg T: 6555 8000 F: 6602 3700 4 have brought together more than their own note, I am very pleased to announce that the [email protected] www.ktph.com.sg professional activities in a shared workspace, Singapore Hospice Council has now 20 member 6 A day in the life of... emphasising the value of aligned goals and organisations that actively provide palliative care HCA Hospice Care KK Women’s and Lyndsay Mathews, objectives, delivering a coordinated service in Singapore. The three new additions are: 705 Serangoon Road, Block A #03-01 Children’s Hospital @Kwong Wai Shiu Hospital, S(328127) 100 Bukit Timah Road, S(229899) pastoral counsellor to patients, their families and even training 1. Buddhist Compassion Relief Tzu Chi Foundation T: 6251 2561 F: 6291 1076 T: 6394 8008 F: 6291 7923 peers and allied health users with the relevant 2. Tsao Foundation www.hca.org.sg www.kkh.com.sg knowledge to better enhance the deliverables of: 3. Woodlands Health Campus Doing more together [email protected] 8 • Culture, collaboration and shared decision- Ng Teng Fong General Hospital making processes in patient-centred care You can read more about them on page 24 of Metta Hospice Care 1 Jurong East Street 21, S(609606) 10 Live Well. Leave Well. • Physician integration this issue. 32 Simei Street 1, T: 6716 2000 F: 6716 5500 • Shared information technology and access to Certainly we can concur — alone, we can do so Metta Building, S(529950) www.ntfgh.com.sg T: 6580 4695 F: 6787 7542 [email protected] 15 Going the extra mile patient data little; together, we can do so much. Will you be www.metta.org.sg • Addressing the concerned population there also to make our voices heard in a wave of [email protected] National Cancer concerts to raise awareness and understanding Forming a Centre Singapore 16 Good multidisciplinary work is made possible of the needs — medical, social, practical, spiritual MWS Home Hospice 11 Hospital Drive, S(169610) community of care with empowerment, dedication, leadership and, — of people living with life-limiting illness and 2 Kallang Avenue, T: 6436 8183 F: 6220 7490 for patients most of all, timely intervention and decision- their families? Come and join us as we celebrate CT Hub #08-14, S(339407) www.nccs.com.sg making. This is usually derived through shared WHPCD on Saturday, 5 October 2019 at *SCAPE, T: 6435 0270 F: 6435 0274 experiential learning, deliberation as a team Orchard from 12pm to 6pm! www.mws.sg Tan Tock Seng Hospital 18 The touch of love [email protected] 11 Jalan Tan Tock Seng, S(308433) with the interest of the patients and caregivers T: 6359 6477 F: 6359 6294 at heart. There is respect for professional Ms Evelyn Leong The root of Singapore Cancer Society www.ttsh.com.sg 20 expertise which is applied in a plan. With Chief Executive 15 Enggor Street, #04-01, palliative care clarity about each team member’s roles and Singapore Hospice Council Realty Centre, S(079716) Woodlands Health Campus T: 6221 9578 F: 6221 9575 9 Maxwell Road, www.singaporecancersociety.org.sg MND Complex Annex A, 22 Taking time to care [email protected] #03-01A, S(069112) T: 6357 7859 24 Upcoming Events & St Andrew’s Community Hospital www.whc.sg 8 Simei Street 3, S(529895) Announcements T: 6586 1000 F: 6586 1100 Lien Centre for Palliative Care www.sach.org.sg Duke-NUS [email protected] Medical School Singapore 8 College Road “Life’s most persistent and urgent question St Joseph’s Home Level 4, S(169857) “ 36 Jurong West St 24, S(648141) T: 6516 4233 T: 6268 0482 F: 6268 4787 www.duke-nus.edu.sg/lcpc is, what are you doing for others?” www.stjh.org.sg [email protected] — Martin Luther King, Jr. 2 3 THE HOSPICE LINK • SEPTEMBER – NOVEMBER 2019 THE HOSPICE LINK • SEPTEMBER – NOVEMBER 2019 END GOALS Opposite and this page: The palliative team gathers thrice a week to discuss patients’ conditions for the past 24 hours, Dr Loo Yu Xian has been caring for With the Huddle in play, the palliative patients for “ the past three years palliative team can send the right person to help because every staff has different strengths and services that they can bring in.” well, each member of the team This Huddle ensures that the families.The Huddle can also be a contributing their strengths and team would not go more than two support platform for members to expertise to the situation. days without being updated on check on each other, offer support The wife passed away that how patients are doing. In doing and to spark discussions on how very night, but both of them so, the team experience benefits care can be better delivered. got the chance to say their final that arose for both patients “Patients benefit from the goodbyes. The husband was also and staff. Huddle as the team is empowered able to make arrangements for Depending on patients’ needs, to deliver person-centred care. his wife’s funeral. with the Huddle in play, the team This requires additional effort The team was happy for the is able to send the right person to from every member of the couple to have their final meeting, handle the situation. This allows multidisciplinary team, but at as they could sense the value it the team to be more efficient in many times the reward proves had for both of them. care delivery while also reducing worthwhile, just as it did in this “None of us could have done the blindspots to issues that case of reuniting a couple before this alone because of the critical matter most to patients and the final departure. The final goodbye timing. Having the Huddle The recently established Palliative Huddle at Bright Vision Hospital, allowed us to come together and coordinate team-based efforts,” where a multidisciplinary palliative team gets together three times a explained Dr Loo. week to discuss the patients’ previous 24 hours, was instrumental in HOW THE PALLIATIVE HUDDLE bringing about an end-of-life couple’s last meeting. WAS BORN The idea of a Palliative Huddle stemmed from the team’s overseas study trip to heirs were two As a generalist in a community passing moment and the team St Christopher’s hospice in the UK. hearts separated hospital with an interest in resolved to work together to bring While it was not something new, T by an unfortunate end-of-life care, Dr Loo has been about this reunion. the Huddle was a step-up from twist in life. The wife caring for palliative patients for Using the Palliative Huddle as what was the norm in BVH. in Bright Vision Hospital (BVH) the past three years. “We knew a platform, the multidisciplinary The challenge was to catch was diagnosed with advanced her husband was getting referred team updated each other on everyone at a common timing, dementia and cancer, and her to us but we did not know the the situation and made plans not always easy as the medical, husband was receiving treatment exact day and time. As a team, to coordinate the reunion by nursing, social work and for cancer at another hospital.